机构:[1]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, Beijing 100142[2]Department of Sinew Injury Manual Therapy Research, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102[3]Department of Internal Medicine, Guangdong Province Corps Hospital of Chinese People's Armed Police Forces, Guangzhou, Guangdong 510507[4]Department of Rehabilitation Medicine, Beijing DCN Orthopedic Hospital, Beijing 100143, P.R. China
The present study aimed to investigate the differences in human lumbar intradiscal pressure (IDP) characteristics during simulated spinal manipulation and spinal mobilization. A total of 12 adult fresh lumbar spinal specimens (T12‑S2) were randomly divided into two groups. The parameters of simulated spinal mobilization were as follows: Preload angle, 15˚ (speed, 3˚/sec); maximum angle, 20˚ (speed, 1˚/sec); and 9 N horizontal force to the L5 spinous process. The parameters of simulated spinal manipulation were as follows: Preload angle, 15˚ (speed, 3˚/sec); impulse angle, 20˚ (impulse speed, 33˚/sec) and 22 N horizontal force to the L5 spinous process. The maximal IDP during both techniques was greater than the initial and end pressures (P<0.01). There was no difference between the initial and end IDP (P>0.05). The maximal IDP on the rotating side was greater than that on the contralateral side during the two techniques (P<0.05). There was no difference in both initial and end IDPs between the two sides (P>0.05). There was no difference in the maximal IDP between the two techniques (P>0.05). The ascending speed of IDP during manipulation was faster than during mobilization (P<0.01), while there was no difference in the descending speed between the two techniques (P>0.05). The maximal IDP on the rotating side was greater than the contralateral side during simulated spinal mobilization and manipulation (P<0.05). The ascending speed of IDP was faster during manipulation than mobilization (P<0.01). Therefore, thrust manipulation may have more instant impact to discs than mobilization.
基金:
National Natural Science Foundation of China (grant no. 81373657).
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类|4 区医学
小类|4 区医学:研究与实验4 区肿瘤学
最新[2025]版:
大类|4 区医学
小类|4 区医学:研究与实验4 区肿瘤学
第一作者:
第一作者机构:[1]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, Beijing 100142
通讯作者:
通讯机构:[1]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, Beijing 100142[2]Department of Sinew Injury Manual Therapy Research, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102[*1]Department of Sinew Injury Manual Therapy Research, Wangjing Hospital of China Academy of Chinese Medical Sciences, 15 Huajiadi Street, Chaoyang, Beijing 100102, P.R. China[*2]Department of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, 30 Fucheng Road, Haidian, Beijing 100142, P.R. China
推荐引用方式(GB/T 7714):
Wang Fei,Zhang Jun,Feng Wei,et al.Comparison of human lumbar disc pressure characteristics during simulated spinal manipulation vs. spinal mobilization.[J].Molecular medicine reports.2018,18(6):5709-5716.doi:10.3892/mmr.2018.9591.
APA:
Wang Fei,Zhang Jun,Feng Wei,Liu Qiang,Yang Xianwen...&Zhao Ping.(2018).Comparison of human lumbar disc pressure characteristics during simulated spinal manipulation vs. spinal mobilization..Molecular medicine reports,18,(6)
MLA:
Wang Fei,et al."Comparison of human lumbar disc pressure characteristics during simulated spinal manipulation vs. spinal mobilization.".Molecular medicine reports 18..6(2018):5709-5716